| Date of birth: | Dec 31, 1965 |
| Hair: | Brown |
| Eyes: | Brown |
| Inmate number: | 00043170 |
| Booking number: | 2010005577 |
| Booking date: | Sep 30, 2010 |
| Release date: | Sep 30, 2010 |
| Booking location: | Okaloosa County, FL |
| Statute: | 843.15-1b - FTA/ DWLSR |
| Offense date: | Sep 30, 2010 |
| Case number: | 2009CT002736S |